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Exam (elaborations)

NR 325 Exam 3 2023

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NR 325 Exam 3 2023 Acute pancreatitis S/S - CORRECT ANSWERS N/V, Pain, LUQ Pain. , Abd distention, Cullens sign ( bruising around the abd.) Turner signs Radiologic studies - CORRECT ANSWERS ultrasound, mammogram, Ct Fibrocystic Breast changes - CORRECT ANSWERS comes and go with monthly mens, Makes BSE difficult, Esophageal Varices - CORRECT ANSWERS Priority: airway assessment, keep scissors at bedside Esophageal Varices S/S - CORRECT ANSWERS Bleeding Esophageal Varices treatment - CORRECT ANSWERS sengstaken blakemore , keep scissors at bedside, beta blocker Abd assessment - CORRECT ANSWERS inspect auscultate percuss palpate Cirrhosis - CORRECT ANSWERS Cirrhosis S/S - CORRECT ANSWERS ascities dyspnea clay colored stools

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NR 325 Exam 3 2023

Acute pancreatitis S/S - CORRECT ANSWERS N/V, Pain, LUQ Pain. , Abd
distention, Cullens sign ( bruising around the abd.) Turner signs

Radiologic studies - CORRECT ANSWERS ultrasound, mammogram, Ct

Fibrocystic Breast changes - CORRECT ANSWERS comes and go with monthly
mens, Makes BSE difficult,

Esophageal Varices - CORRECT ANSWERS Priority: airway assessment, keep
scissors at bedside

Esophageal Varices S/S - CORRECT ANSWERS Bleeding

Esophageal Varices treatment - CORRECT ANSWERS sengstaken blakemore ,
keep scissors at bedside, beta blocker

Abd assessment - CORRECT ANSWERS inspect
auscultate
percuss
palpate

Cirrhosis - CORRECT ANSWERS

Cirrhosis S/S - CORRECT ANSWERS ascities
dyspnea
clay colored stools
4 + edema ( check albumin)
jaundice

What to teach in Cirrhosis - CORRECT ANSWERS no Tylenol, no alcohol, check
bleeding

What do you assess in Cirrhosis - CORRECT ANSWERS Neuro ( LOC) , because of
increased ammonia hepatic encephaiopathy

How do you screen for early detection of breast cancer - CORRECT ANSWERS
yearly mammogram,

At what age do you start screening fr breast cancer - CORRECT ANSWERS Yearly
mammograms starting at age 40 and continuing for as long as a woman is in
good health.

,When do you start CBE ( clinical breast exam) - CORRECT ANSWERS Clinical
breast examination (CBE) at least every 3 years for women between ages 20 and
30 and every year for women beginning at age 40.

What are some risk factors for Breast cancer - CORRECT ANSWERS 1.Family
history of mother or sister with breast cancer
2.Medical history of cancer of other breast, endometrial cancer, or atypical hyperplasia
3.Menarche before age 12 (early) or menopause after age 50 (late)
4. Lifestyle factors: high-fat diet, obesity, high socioeconomic status, breast trauma,
smoking, ingesting more than 2 alcoholic drinks daily

At what age do you start BSE - CORRECT ANSWERS Start BSE at age 20 on a
monthly schedule

When you have a regular mens when do you do BSE - CORRECT ANSWERS
Women w/ regular menses perform BSE right after period when breasts are less
lumpy and tender.

How do you do a self breast exam - CORRECT ANSWERS by using the pads of the
fingers, in a circular motion, with hand over head

What are the potential complication for mastectomy - CORRECT ANSWERS 1.
lymphedema such as edema in hand or arm on operative side, heaviness, or
localized pain.
2.Do not perform venipunctures or take BP on affected arm to reduce risk of
constriction, infection, and lymphedema in affected arm.
3.Avoid dependent arm position to allow proper wound healing and decrease stress to
incision site.

What are the post-operative intervention for mastectomy - CORRECT ANSWERS 1-
Turn, cough, and deep breathe to prevent respiratory complications.
2- Semi-fowlers position with arm on the affected side elevated on a pillow
3.-Encourage early ROM exercises to prevent contractures and lymphedema, by
squeezing a rubber ball after surgery
4 -sign over bed - DO NOT USE affected ARM for BP and BLOOD DRAWS

When do you do regular mammogram - CORRECT ANSWERS yearly after 40,- At
age 60 the risk increases-Pt w/ mastectomy should still get a -

What is BPH (benign prostatic hyperplasia) - CORRECT ANSWERS benign
enlargement of prostate gland; results from endocrine changes associated with
aging

What is the assessment for BPH (benign prostatic hyperplasia) - CORRECT
ANSWERS Decreased force and amount of urine

, Dribbling
Dysuria
Nocturia
intermittency
Hesitancy
Urgency, frequency, and burning on urination

What are the nursing intervention for BPH (benign prostatic hyperplasia) - CORRECT
ANSWERS Restore bladder drainage
Relieve the patients symptoms
Restrict evening fluid intake
Prevent or treat the complications of BPH

What can we teach patient with BPH (benign prostatic hyperplasia) - CORRECT
ANSWERS Teach pt. that surgery may affect sexual ,function Ejaculate may be
decreased or absent

What to assess in a client with prostate cancer in the early stages - CORRECT
ANSWERS Asymptomatic in early stages
dysuria
dribbling
frequency
hesitancy
hematuria
nocturia
urgency

What to assess in a client with prostate cancer in the late stages - CORRECT
ANSWERS Pain in the lumbosacral area that radiates down to the hips or the legs;
may indicate metastasis.

What are the screening for prostate cancer - CORRECT ANSWERS PSA is used to
diagnose
Annual PSA screening and DRE (digital rectal exam) after the age of 50
On DRE an abnormal prostate may feel hard, nodular, and asymmetric.

What are the manifestation of Erectile dysfunction - CORRECT ANSWERS Self-report
of problems associated w/ sexual performance.

what is Infertility - CORRECT ANSWERS Inability to conceive after 1 year of
unprotected intercourse

What are the risks factors of Infertility - CORRECT ANSWERS 1. tobacco, illicit drug
use, and abnormal BMI indicating obesity or low body weight.

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